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Evidence-Based Orthopaedics   |    
Arthroscopic Repair Is as Effective as Open Repair for Isolated Bankart Lesions of the Shoulder and May Improve Range of Motion

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Source of funding: No external funding.
For correspondence: C. Fabbriciani, Department of Orthopaedics, University of Sassari, Viale San Pietro 43, 07100 Sassari, Italy. E-mail: clorto@uniss.it
Fabbriciani C, Milano G, Demontis A, Fadda S, Ziranu F, Mulas PD. Arthroscopic Versus Open Treatment of Bankart Lesion of the Shoulder: A Prospective Randomized Study.
Arthroscopy
. 2004 May-Jun;20:456-62.

The Journal of Bone and Joint Surgery, Incorporated
J Bone Joint Surg Am, 2004 Nov 01;86(11):2574-2574
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Question: In patients with traumatic anterior instability of the shoulder, what is the effectiveness of arthroscopic and open treatment for repairing isolated Bankart lesions?Design: Randomized (allocation concealed*), unblinded, controlled trial with 2 years of follow-up.*Information provided by author.Setting: Department of Orthopaedics at the University of Sassari in Italy*.Patients: 60 patients (mean age, 26 y, 87% men) with traumatic anterior instability of the shoulder, no shoulder symptoms or surgery before the first traumatic dislocation, =4 episodes of anterior dislocation of the shoulder, no clinical evidence of multidirectional instability, and radiological evidence of =30% loss of substance of the humeral head. All patients underwent arthroscopy to confirm a Bankart lesion of the anterior aspect of the glenoid labrum, the absence of other capsular and tendon injuries, and the absence of glenoid fractures. Follow-up study was 100%.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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